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कंपनी की नौकरियाँ

Licensed Behavioral Health Utilization Management Clinician – Louisiana Remote

Humana is seeking a licensed behavioral health clinician to support utilization management, medical necessity reviews, and care coordination for Louisiana members. This full-time remote role follows a Sunday–Thursday schedule after weekday training.

USसंयुक्त राज्यLAलुइज़ियाना
$65,000 – $88,600 / वर्ष
रिमोटपूर्णकालिकमध्य स्तरवरिष्ठआवश्यक भाषा: अंग्रेज़ीपरामर्शदाता

विवरण

  • Coordinate, document, and communicate medical service and benefit administration determinations.
  • Apply behavioral health criteria, policies, and procedures to evaluate appropriate treatment, care, and services.
  • Work with providers, members, and other stakeholders to support effective care and treatment.
  • Use clinical expertise, clear communication, and independent critical thinking in daily decisions.
  • Determine appropriate work methods in ambiguous situations with limited supervision.
  • Adhere to established guidelines, policies, and procedures.
  • Attend training Monday through Friday from 8:00 AM to 5:00 PM Central Time.
  • After training and precepting, work Sunday through Thursday from 8:00 AM to 5:00 PM Central Time.
  • Travel occasionally to Humana offices for training, meetings, or other business needs.

आवश्यकताएँ

  • Reside in Louisiana.
  • Hold one of the accepted licenses without a history of disciplinary action: a Registered Nurse license under the Multi-State Compact, or a Louisiana professional license supported by a master's degree in a behavioral health-related field.
  • Accepted behavioral health licenses include LCSW, LMSW, LPC, LMFT, LAC, and Licensed Psychologist.
  • Have at least three years of post-degree clinical experience providing direct patient care.
  • Have at least three years of behavioral health experience.
  • Use Microsoft Office, navigate multiple systems and platforms, and perform basic technical troubleshooting in a remote setting.
  • Be available for an Eastern Time schedule, including occasional weekends and holidays.
  • Maintain a dedicated, interruption-free workspace to safeguard PHI and HIPAA-protected information.
  • Have home internet service with at least 25 Mbps download and 10 Mbps upload speeds.

लाभ

  • Eligibility for a bonus incentive plan tied to company and individual performance.
  • Medical, dental, and vision coverage.
  • 401(k) retirement savings plan.
  • Paid time off.
  • Company and personal holidays.
  • Paid parental and caregiver leave.
  • Short-term and long-term disability coverage.
  • Life insurance.
  • Remote work arrangement.
  • Minimal travel, expected to be less than 5%.
  • Internet service requirements and support for eligible home or hybrid home/office employees.